NPI 1508784414

Harrison to, CPED

Practitioner Pedorthist San Jose, CA

Practice location

Address: 455 Oconnor Dr STE 360, San Jose, CA 95128-1646
Phone: (408) 358-9741
Mailing address: 2851 Cicero Way, San Jose, CA 95148-2905

Registered specialties

Pedorthist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224L00000X Licence CPED4964 (CA)

Other Pedorthist providers in California →

Registry record

NPI: 1508784414
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2026
Record last updated: 8 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.